OCALI Lending Library - App Suite Evaluation

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* 1. Patron Name

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* 2. Email Address

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* 3. Are you a person with a disability?

Yes

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* 4. Are you a family member of a person with a disability?

Yes

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* 5. Title/Role

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* 6. App Suite Name

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* 7. List all of the apps used within the app suite:

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* 8. Accession Number

Refer to the email you received regarding taking the survey to find the accession number of item borrowed. You can also look for the eight digit number associated with the item on top or side of the container that the items were packaged in.

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* 9. Date Requested

Please enter the date you requested the item below:

Date

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* 10. Date Received

Please enter the date you received the requested item below:

Date

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* 11. County

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* 12. Zip Code

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* 13. School District or Organization

If you work for a school, please enter the name of the district that your school belongs to. If you do not work for a school, please simply enter the name of the organization that you work for.

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* 14. How were the apps in this app suite used?

Individual or Student evaluation/trial

Professional development/training to others

Other (please describe)

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* 15. If the apps in the app suite were used for professional development/training to others, please enter the number of participants below. Otherwise, leave this question blank.

Educational Staff

Parents

University Students

Other Participants

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* 16. If used for evaluation, what disability category? (check all that apply)

Autism spectrum disorder (ASD)

Deafness

Deaf-blindness

Emotional disturbance

Hearing impairment

Intellectual disability

Multiple disabilities

Other health impairment

Orthopedic impairment

Specific learning disability (SLD)

Speech or language impairment

Traumatic brain injury

Visual impairment, including blindness

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* 17. How will the apps in this app suite be used to enable the student to access the general curriculum? (check all that apply)

Access to Curricular Materials: Writing, Reading, Math, Social Studies, Science

Augmentative Communication

Computer Access/Mobile Device Access

Functional Living Skills

General Activities/School Activities

Organization

Sensory Needs

Other (please describe)

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* 18. As a result of this evaluation/trial, the following has been determined:

The apps within this app suite are appropriate to meet the needs of the student/individual.

The apps within this app suite are appropriate to meet the needs of the trainer given their specific audience.

The apps within this app suite are not effective tools for the student/individual or training audience; other apps will be explored.

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* 19. If the apps in this app suite were used for professional development or training, please indicate what participants increased their understanding of: (check all that apply)

The operation of these apps

How these apps may increase the student/individual’s achievement in areas of need

OCALI Lending Library - App Suite Evaluation

Question Title

* 1. Patron Name

Question Title

* 2. Email Address

Question Title

* 3. Are you a person with a disability?

Question Title

* 4. Are you a family member of a person with a disability?

Question Title

* 5. Title/Role

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* 6. App Suite Name

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* 7. List all of the apps used within the app suite:

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* 8. Accession NumberRefer to the email you received regarding taking the survey to find the accession number of item borrowed. You can also look for the eight digit number associated with the item on top or side of the container that the items were packaged in.

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* 9. Date Requested

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* 10. Date Received

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* 11. County

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* 12. Zip Code

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* 13. School District or OrganizationIf you work for a school, please enter the name of the district that your school belongs to. If you do not work for a school, please simply enter the name of the organization that you work for.

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* 14. How were the apps in this app suite used?

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* 15. If the apps in the app suite were used for professional development/training to others, please enter the number of participants below. Otherwise, leave this question blank.

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* 16. If used for evaluation, what disability category? (check all that apply)

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* 17. How will the apps in this app suite be used to enable the student to access the general curriculum? (check all that apply)

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* 18. As a result of this evaluation/trial, the following has been determined:

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* 19. If the apps in this app suite were used for professional development or training, please indicate what participants increased their understanding of: (check all that apply)

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* 20. Other comments or technical issues that need our attention (repair, missing components, items not working):

* 8. Accession Number

Refer to the email you received regarding taking the survey to find the accession number of item borrowed. You can also look for the eight digit number associated with the item on top or side of the container that the items were packaged in.

* 13. School District or Organization

If you work for a school, please enter the name of the district that your school belongs to. If you do not work for a school, please simply enter the name of the organization that you work for.